Organization
UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC
Active
Other names
Mental Health Center-MI
Organization subpart
No
Provider details
NPI number
Authorized official
REID F JONES (EXEC. VP)
(205) 731-9600
Entity
Organization
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55309, BIRMINGHAM, AL 35255-5309
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051008106
BLUE CROSS
AL
05
—
330000005
—
AL
Enumeration date
09/25/2006
Last updated
11/01/2012
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